Individual
DR. ANTHONY G BRUNOZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1609 WOODBOURNE RD STE 101, LEVITTOWN, PA 19057
(215) 945-1500
(215) 945-9192
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-7037
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008501L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073048400002
—
PA
01
—
0572036000
KEYSTONE EAST
PA
01
—
08012767
MEDICARE TRAVELERS
PA
01
—
10923820
CAQH NUMBER
—
01
—
118864300
U.S. DEPT. OF LABOR
PA
01
—
16768
UMWA
PA
01
—
167688828
TRICARE
PA
01
—
2Y2473
HEALTHNET
PA
01
—
5027469
AETNA PPO
PA
01
—
5377164001
CIGNA INSURNACE CO.
PA
01
—
5998012
G.H.I INSURANCE COMPANY
PA
01
—
729738
BLUE CROSS BLUE SHIELD
PA
01
—
96500
OPERATOR'S 825 WELFARE
PA
01
—
P9355940
OXFORD
PA
Enumeration date
01/14/2006
Last updated
05/18/2021
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